Indiana QMA (Qualified Medication
Aide) State Test Comprehensive
Practice Examination Complete Exam
Questions with Correct Answers and
Indiana QMA (Qualified Medication Aide) State Test |
Comprehensive Examination
Indiana QMA (Qualified Medication Aide) State Test
Comprehensive Practice Examination Complete Exam
Questions with Correct Answers and Detailed Rationales
INTRODUCTION
This document is an important and very helpful preparation
resource for Indiana QMA (Qualified Medication Aide) State
Test Comprehensive Practice Examination Complete Exam
Questions with Correct Answers and Detailed Rationales Latest
Update 2026/2027 Indiana State Department of Health
Standards. Every item uses a focused exam stem, four response
options, a keyed response, and a clear rationale, making it
easier to understand the subject, spot distractors, and build real
exam confidence.
Page 1
, Question 1
A QMA is preparing to administer a scheduled dose of warfarin. The resident's
most recent INR is 4.8. Which action best reflects the QMA's legal and ethical
responsibility under Indiana QMA standards?
A. Administer the dose as ordered because the INR is only slightly
elevated.
B. Hold the dose and notify the supervising nurse immediately.
C. Administer half the dose and document the rationale.
D. Give the dose and request a repeat INR after administration.
Correct Answer: B - Hold the dose and notify the supervising
nurse immediately.
RATIONALE
An INR of 4.8 is supratherapeutic and increases bleeding risk; the
QMA must hold the medication and report to the nurse, as
administering or adjusting doses exceeds QMA scope. Indiana QMA
standards prohibit independent dose modification. Options A, C, and
D violate scope of practice and safety protocols.
Question 2
Which statement accurately distinguishes a QMA's role from that of a licensed
nurse when a resident refuses a prescribed medication?
A. The QMA may document the refusal and omit the dose without
notifying the nurse.
B. The QMA must attempt to persuade the resident and administer the
medication if refusal persists.
C. The QMA should document the refusal, notify the nurse, and not
administer the medication.
D. The QMA can administer the medication covertly in food or drink to
ensure compliance.
Correct Answer: C - The QMA should document the refusal,
Page 2
, notify the nurse, and not administer the medication.
RATIONALE
Respecting resident rights, the QMA must not force or covertly
administer medication; documentation and nurse notification are
required. Indiana QMA standards prohibit coercion and unauthorized
administration. Options A, B, and D violate ethical and legal
guidelines.
Question 3
A QMA is calculating a liquid medication dose. The order is for 0.125 mg of
digoxin, and the available elixir is 0.05 mg/mL. How many milliliters will the
QMA administer?
A. 1.5 mL
B. 2.0 mL
C. 2.5 mL
D. 3.0 mL
Correct Answer: C - 2.5 mL
RATIONALE
Using ratio/proportion: 0.05 mg/1 mL = 0.125 mg/x mL -> x = 2.5
mL. Options A, B, and D reflect calculation errors. Accurate dosage
calculation is critical for QMA practice.
Question 4
Which physiological change in older adults most significantly increases the
risk of adverse drug reactions and requires QMA vigilance?
A. Increased gastric motility
B. Decreased glomerular filtration rate
C. Enhanced hepatic first-pass metabolism
D. Increased total body water
Correct Answer: B - Decreased glomerular filtration rate
Page 3
Aide) State Test Comprehensive
Practice Examination Complete Exam
Questions with Correct Answers and
Indiana QMA (Qualified Medication Aide) State Test |
Comprehensive Examination
Indiana QMA (Qualified Medication Aide) State Test
Comprehensive Practice Examination Complete Exam
Questions with Correct Answers and Detailed Rationales
INTRODUCTION
This document is an important and very helpful preparation
resource for Indiana QMA (Qualified Medication Aide) State
Test Comprehensive Practice Examination Complete Exam
Questions with Correct Answers and Detailed Rationales Latest
Update 2026/2027 Indiana State Department of Health
Standards. Every item uses a focused exam stem, four response
options, a keyed response, and a clear rationale, making it
easier to understand the subject, spot distractors, and build real
exam confidence.
Page 1
, Question 1
A QMA is preparing to administer a scheduled dose of warfarin. The resident's
most recent INR is 4.8. Which action best reflects the QMA's legal and ethical
responsibility under Indiana QMA standards?
A. Administer the dose as ordered because the INR is only slightly
elevated.
B. Hold the dose and notify the supervising nurse immediately.
C. Administer half the dose and document the rationale.
D. Give the dose and request a repeat INR after administration.
Correct Answer: B - Hold the dose and notify the supervising
nurse immediately.
RATIONALE
An INR of 4.8 is supratherapeutic and increases bleeding risk; the
QMA must hold the medication and report to the nurse, as
administering or adjusting doses exceeds QMA scope. Indiana QMA
standards prohibit independent dose modification. Options A, C, and
D violate scope of practice and safety protocols.
Question 2
Which statement accurately distinguishes a QMA's role from that of a licensed
nurse when a resident refuses a prescribed medication?
A. The QMA may document the refusal and omit the dose without
notifying the nurse.
B. The QMA must attempt to persuade the resident and administer the
medication if refusal persists.
C. The QMA should document the refusal, notify the nurse, and not
administer the medication.
D. The QMA can administer the medication covertly in food or drink to
ensure compliance.
Correct Answer: C - The QMA should document the refusal,
Page 2
, notify the nurse, and not administer the medication.
RATIONALE
Respecting resident rights, the QMA must not force or covertly
administer medication; documentation and nurse notification are
required. Indiana QMA standards prohibit coercion and unauthorized
administration. Options A, B, and D violate ethical and legal
guidelines.
Question 3
A QMA is calculating a liquid medication dose. The order is for 0.125 mg of
digoxin, and the available elixir is 0.05 mg/mL. How many milliliters will the
QMA administer?
A. 1.5 mL
B. 2.0 mL
C. 2.5 mL
D. 3.0 mL
Correct Answer: C - 2.5 mL
RATIONALE
Using ratio/proportion: 0.05 mg/1 mL = 0.125 mg/x mL -> x = 2.5
mL. Options A, B, and D reflect calculation errors. Accurate dosage
calculation is critical for QMA practice.
Question 4
Which physiological change in older adults most significantly increases the
risk of adverse drug reactions and requires QMA vigilance?
A. Increased gastric motility
B. Decreased glomerular filtration rate
C. Enhanced hepatic first-pass metabolism
D. Increased total body water
Correct Answer: B - Decreased glomerular filtration rate
Page 3
